Evidence map›Paper›PMID 40187775›Full record

ArticleBMJ open2025

Cost-effectiveness of support for health professionals to implement physical activity promotion: a protocol for within-trial and modelled economic evaluations of the PROMOTE-PA effectiveness-implementation hybrid trial.

Belinda Wang, Catherine Sherrington, Jennifer Cartwright, Leanne Hassett, Kate Purcell, Roslyn Savage, Anne Tiedemann, Sakina Chagpar, Daniel Cheung, Michael Noetel and 3 more

Abstract readClinical Trial Protocol
PubMed Full text at PMC Publisher
In one paragraph

Article in BMJ open, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Belinda WangSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia belinda.wang@sydney.edu.au.ORCID http://orcid.org/0000-0001-9026-9270
Catherine SherringtonSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0001-8934-4368
Jennifer CartwrightSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Leanne HassettInstitute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia.
Kate PurcellSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Roslyn SavageSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Anne TiedemannSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Sakina ChagparSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.
Daniel CheungInstitute for Musculoskeletal Health, Sydney Local Health District, Sydney, New South Wales, Australia.
Michael NoetelSchool of Psychology, The University of Queensland, Brisbane, Queensland, Australia.
Georgina ClutterbuckSchool of Health and Rehabilitation Sciences, The University of Queensland, Brisbane, Queensland, Australia.
Kirsten HowardSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.ORCID http://orcid.org/0000-0002-0918-7540
Marina PinheiroSchool of Public Health, Faculty of Medicine and Health, The University of Sydney, Sydney, New South Wales, Australia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPhysical activity has important benefits for the prevention and management of chronic diseases and healthy ageing. Health professionals have valuable opportunities to promote physical activity to a large group of people across the lifespan. Promotion of Physical Activity by Health Professionals is a hybrid type 1 effectiveness-implementation cluster randomised trial designed to evaluate the impact of physical activity promotion by health professionals (n=30 clusters) on physical activity participation in their patients (n=720). To inform the future implementation of this programme, we will be conducting a within-trial and modelled economic evaluation. METHODS AND ANALYSIS: We will conduct a cost-effectiveness and cost-utility analysis from the perspective of the healthcare, aged care and disability funder. The time horizon will be 6 months for the within-trial analysis and 2 years for the modelled analysis. Data on intervention costs will be collected using trial records. Data on healthcare utilisation will be collected using data linkage. Incremental cost-effectiveness ratios (ICERs) will be reported for physical activity and quality-adjusted life years outcomes. Bootstrapping will be used to explore uncertainty around the ICERs and estimate 95% CIs. Results will be presented on a cost-effectiveness plane. The probability that the intervention would be cost-effective at varying willingness-to-pay thresholds will be presented using a cost-effectiveness acceptability curve. ETHICS AND DISSEMINATION: Ethics approval was obtained through Sydney Local Health District (RPAH zone) Ethics Review Committee (X23-0197). The findings of this study will be disseminated through peer-reviewed journal articles and conference presentations. TRIAL REGISTRATION NUMBER: Australian New Zealand Clinical Trials Registry: ACTRN12623000920695.

Indexed as

ExerciseHealth PersonnelHealth PromotionAustraliaCost-Benefit AnalysisHumansQuality-Adjusted Life YearsRandomized Controlled Trials as TopicDelivery of Health Care, IntegratedExerciseHEALTH ECONOMICS

Identifiers

PMID40187775
PMCPMC11973784

What OpenQuestion holds

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LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.